Clonazepam as a prescription benzodiazepine that is commonly used to treat seizures or fits caused by epilepsy, involuntary muscle spasms, panic disorders and sometimes restless leg syndrome.
While effective when used as prescribed, clonazepam can lead to physical dependence and addiction, particularly when used for extended periods or at higher doses. Many people do not realise they have developed a dependency until they attempt to reduce or stop taking the medication.
Here we will look at clonazepam addiction treatment and the recovery options available…
What Is Clonazepam?
Clonazepam is a central nervous system depressant belonging to the class of medicines known as benzodiazepines. It works by increasing the levels of a chemical called gamma-aminobutyric acid (GABA) in the brain, which has a calming effect.
Benzodiazepines (benzos) like clonazepam are generally intended for short-term use where possible, largely due to the potential for dependency and addiction. They are sometimes misused. This can involve people taking larger doses or using more frequently than prescribed, accessing other people’s prescriptions, or using the drug recreationally.
Can You Become Addicted to Clonazepam?
The short answer is yes, benzodiazepines like clonazepam carry serious risks of dependency and addiction, although the NHS points out that it is not likely to prove addictive over short time spans of 2-4 weeks.
You can quickly develop tolerance to clonazepam, meaning you need to use more of the drug for the same effect. At the same time, your system can adjust to the presence of the drug, leading to withdrawal symptoms when you do not use it. This is a type of physical dependency, but you can also develop a psychological addiction or compulsion to continue using clonazepam.
Some factors that could increase the risk of benzodiazepine addiction could include:
- Long-term use
- Higher doses
- Recreational misuse
- Mixing with other substances
- Previous history of addiction
Signs and Symptoms of Clonazepam Addiction
Some of the warning signs that may indicate clonazepam dependence or addiction include:
- Experiencing cravings
- Taking larger doses or more frequently
- ‘Doctor shopping’ – visiting multiple healthcare professionals to obtain overlapping prescriptions
- Running out of prescriptions early
- Difficulty functioning without the drug
- Continued use despite negative consequences
- Anxiety over obtaining the drug
- Trying to obtain through dishonesty or illegally
Why Is Clonazepam Addiction Dangerous?
Addiction can take a toll on physical health, mental wellbeing, work, finances, relationships and many other aspects of daily life.
It can also increase the risks associated with long-term use of the drug itself, which can include:
- Cognitive impairment
- Memory problems
- Drowsiness
- Increased accident risk
- Emotional instability
It is also possible to experience a benzodiazepine overdose. This can result in excessive sedation and unconsciousness. Larger doses can cause coma, respiratory depression, and even death
Risks can also increase if clonazepam is combined with alcohol, opioids or other depressants.
What Happens When You Stop Taking Clonazepam?
When you regularly take benzodiazepines, your brain chemistry will alter over time to counteract the drug’s persistent calming effects. This can result in increased tolerance and withdrawal symptoms if the drug is suddenly withdrawn. Essentially, your system will have too many of the chemicals produced to counteract the clonazepam, which tend to have a stimulant effect.
This is why suddenly stopping clonazepam can be dangerous and should not be attempted without medical guidance.
What Are the Symptoms of Clonazepam Withdrawal?
Some common withdrawal symptoms can include:
- Anxiety
- Panic attacks
- Insomnia
- Irritability
- Sweating
- Tremors
- Nausea
- Heart palpitations
- Difficulty concentrating
Some individuals may experience more severe withdrawal symptoms, including seizures and acute psychological distress.
How Long Does Clonazepam Withdrawal Last?
The withdrawal timeline can vary widely depending on factors including length of use, dosage, individual health factors and the presence of other substances.
However, an initial ‘rebound’ effect of anxiety and insomnia may come on within 1-4 days of stopping. Full-blown withdrawal, if experienced, may last 10-14 days. Some anxiety symptoms may persist until treated.
Why Professional Clonazepam Detox Is Important
A medically supervised detoxification allows healthcare professionals to manage symptoms safely and reduce risks.
In many cases a gradual tapering is often recommended rather than abrupt cessation, allowing the user to ‘wean off’ the drug. Personalised medical oversight is very important though, as everyone’s situation is different.
What Are the Main Clonazepam Addiction Treatment Options?
A medical detox can help an individual to get through any withdrawal symptoms safely and comfortably. There may then be a choice of outpatient treatment or residential rehabilitation. Both approaches can incorporate therapy, counselling and aftercare programmes.
How Does Residential Rehab Help With Clonazepam Addiction?
Inpatient treatment offers a number of benefits, including a safe and structured environment away from the triggers of everyday life. This also allows for a more intensive and focused recovery programme, which may incorporate medical support, therapeutic interventions and peer support
Residential treatment may be particularly beneficial for those with severe dependence or co-occurring issues such as mental health issues.
What Therapies Are Used to Treat Clonazepam Addiction?
Evidence-based treatment programmes can include a number of techniques, including:
- Cognitive Behavioural Therapy (CBT)
- Individual counselling
- Group therapy
- Relapse prevention therapy
- Motivational approaches
- Dual diagnosis
Therapy can help to address the psychological aspects of addiction, as well as the underlying causes of substance misuse. Dual diagnosis involves treating addiction alongside any mental health issues that may co-exist.
What Happens After Rehab?
Rehab can provide the tools you need to maintain your recovery but it is an ongoing process and continued support is very important. This can take the form of aftercare programmes, support groups and continued therapy. Relapse prevention planning and healthy lifestyle changes can also help as you move forward.
Can You Fully Recover From Clonazepam Addiction?
Dependence and addiction are difficult to tackle alone but recovery is achievable with the right treatment. Many people successfully overcome benzodiazepine addiction with the right support in place.
When Should You Seek Professional Help?
This can vary depending on individual circumstances but in general you may need help if you experience:
- Failed attempts to stop
- Withdrawal symptoms
- Increasing dosage requirements
- Health complications
- Negative impacts on daily life
Clonazepam addiction can be very harmful and its importance to seek appropriate treatment. Withdrawal can be particularly challenging and potentially dangerous without professional support.
A holistic combination of detoxification, therapy, rehabilitation and aftercare can provide the foundation for lasting recovery. If your clonazepam use has become difficult to control, it’s important to seek professional help as soon as possible.
References
- [1] which has a calming effect - https://www.nhs.uk/medicines/clonazepam/about-clonazepam/
- [2] serious risks of dependency and addiction - https://assets.publishing.service.gov.uk/media/695d44fb34c664251c38a139/Benzodiazepines_Patient_Resource_-_FINAL.pdf
- [3] the NHS points out - https://www.nhs.uk/medicines/clonazepam/common-questions-about-clonazepam/
- [4] benzodiazepine overdose - https://bestpractice.bmj.com/topics/en-gb/343
- [5] The withdrawal timeline - https://pubmed.ncbi.nlm.nih.gov/7841856/